Healthcare Provider Details

I. General information

NPI: 1225864937
Provider Name (Legal Business Name): MEREDITH MCCLENDON LMFTA, ALC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/10/2024
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2013 KENTUCKY AVE
VESTAVIA HILLS AL
35216-1952
US

IV. Provider business mailing address

2013 KENTUCKY AVE
VESTAVIA HILLS AL
35216-1952
US

V. Phone/Fax

Practice location:
  • Phone: 205-259-8995
  • Fax:
Mailing address:
  • Phone: 205-259-8995
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberALC04870
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberA348
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: